Childhood and adolescent obesity are currently among the greatest challenges for public health. Physical activity, physical fitness, and adherence to the Mediterranean diet (MD), representing powerful indicators of healthy lifestyles, are shown as determinant factors in the prevention and treatment of obesity. The aim of the present study has been to analyse the relationship between health-related physical fitness components, body composition, and adherence to MD in 387 Icelandic adolescents of 13–16-years old (54% boys). The ALPHA Fitness Test was used to measure physical fitness and body composition. The KIDMED questionnaire was used to assess the adherence to MD among participants. Associations between variables were tested according to gender and age using linear regression models and analysis of variance. Participants with high/medium adherence to MD showed significantly higher endurance scores in both the boys and the girls. Gender differences were found. The boys in high/medium MD categories had significantly lower fat percentages and ran a 4 × 10 m sprint faster than the girls. The girls scored higher than the boys in endurance and speed-agility tests. It can be concluded that a high and medium adherence to MD is associated with high and very high endurance in both the girls and the boys.

Childhood and adolescent obesity has become one of the most vital challenges to overcome in the present age. Physical fitness, physical activity and the Mediterranean diet (MD) are valuable tools for its prevention and treatment. The main objective of this study is to analyze the associations between health-related physical fitness components, body composition and adherence to the MD in 917 adolescents aged from 13- to 16-years-old. The ALPHA-Fitness Test was used to measure physical fitness and body composition, and the Adherence to the Mediterranean Diet (KIDMED) questionnaire was employed to assess the adherence to the MD. The associations between variables were tested according to gender and age a generalized linear model (GLM) univariate analysis (two factors) and one-way analysis of variance (ANOVA, with Bonferroni posthoc). As to the body composition and physical fitness variables, significant differences were obtained in both genders but not in relation to the adherence to the MD. The boys performed better in the physical fitness tests. Age was a determinant factor in adherence to the MD in the total sample, lowering as the age of the sample increases. Both the boys and girls who had a significantly higher performance in the endurance test were those who showed high/medium adherence to the MD. It is concluded that higher levels of cardiovascular endurance in boys and girls are associated with a medium and high adherence to the MD.

Obesity, low levels of physical fitness, and unhealthy eating patterns are responsible for part of the health problems of adolescents today. The current study aimed at examining the association between the adherence to the Mediterranean diet (MD), through each answer to the items of the Adherence to the MD Questionnaire (KIDMED), and physical fitness with body composition parameters (body mass index (BMI), percentage of body fat, and waist circumference) in 1717 European adolescents (N = 900 boys, N = 817 girls). Data of body composition, physical fitness results, and the answers to KIDMED were analyzed by the Student’s t-test. Additionally, the effect size (ES) was calculated and a Chi-square test analyzed the proportion of participants with and without over waist circumference, overfat, and overweight in each KIDMED question. The relative risk of suffering over waist circumference, overfat and overweight in relation to the responses was calculated by Odd-Ratio. Adherence to the MD did not influence the condition of over waist circumference, overfat and overweight, although certain dietary habits were identified as risk factors for their development. Over waist circumference, overfat, and overweight boys and girls presented higher levels of body mass, waist circumference, body fat percentage, and BMI (p < 0.001; ES = 1.73–3.38), as well as lower levels of all the parameters of the physical fitness analyzed (p < 0.001; ES = 0.45–1.08), except the handgrip test. A direct relationship between fitness and over waist circumference, overfat, and overweight was found.

Unhealthy lifestyles, low levels of physical fitness, and adherence to the Mediterranean diet (MD) are associated with bad quality of life and the development of a wide range of non-communicable diseases (NCDs). The current study aimed to evaluate the level of adherence to the MD in physical fitness performance and body composition parameters in children and adolescents of Estonia. Therefore, 413 adolescents (56% boys) from the city of Tartu completed the Mediterranean Diet Questionnaire (KIDMED) for analyzing the adherence to MD and performed the Alpha Fitness Test for measuring physical fitness and body composition. A 41.67% of low, 44.05% of average, and 14.28% of high adherence to MD was detected, without difference between genders (p = 0.747). In the Alpha Fitness battery, a higher performance was observed in all tests for boys vs. girls (p < 0.05). In relation to body composition, higher height, weight, and waist values were observed in boys (p < 0.05) and a lower body fat percentage (p < 0.01) without differences in body mass index (BMI; p = 0.906). The adherence to the MD is classified as average/low. Gender significantly influences all variables of the Alpha Fitness battery and anthropometrics measures excepting BMI. According the levels of adherence to the MD, no statistically different prevalence was observed for Non-Overweight (N-Oweight), Non-Overfat (N-Ofat), or Non-Overwaist (N-Owaist). Still, a risk factor for Overweight (Oweight) in boys with low adherence was observed in comparison to those with a mid-level of adherence to the MD.

Sleep is a vital element of adolescents’ overall health; it influences their body and mind and thus affects their quality of life. Adequate sleep quality and duration are essential for maintaining optimal metabolic health and lowering the risk of developing several medical conditions, such as cardiovascular disease. The current study aimed to assess the perceived sleep quality and duration of 1717 European adolescents from three different European countries (Spain, Iceland and Estonia) aged 13- to 16-years (900 boys, 817 girls) using the Pittsburgh Sleep Quality Index (PSQI). A multivariate analysis of variance (MANOVA) was performed to examine differences between groups and two-factor analysis of variance (ANOVA) was used to analyze city and age differences. The probability of having poor sleep quality and duration was calculated by Odd-Ratio (OR). Our study found poor sleep quality in 44% of the boys and 53% of the girls, whereas 68% and 69%, respectively did not get the recommended hours of sleep (i.e., 8–10 h). No difference was found between adolescents from Estonia, Iceland and Spain regarding sleep duration. In contrast, Spanish and Estonian adolescents reported higher probabilities of having poor sleep quality. Finally, girls had a significantly higher probability of poor sleep quality than boys.

La adherencia a la dieta mediterránea (DM) y una práctica regular de ejercicio físico se asocian positivamente con una mejor calidad de vida y con una reducción de los niveles de sobrepeso, obesidad y patologías asociadas. El objetivo del presente estudio es analizar la adherencia a la dieta mediterránea, motivos para la práctica de ejercicio físico y posibles relaciones con los elementos de composición corporal (IMC, % Grasa Corporal y Circunferencia de Cintura) en 387 adolescentes islandeses (54% chicos, 46% chicas, Medad=15.03). Se realizaron análisis de Chi-cuadrado (χ2), t-Student y Anova. La adherencia a la DM de los sujetos se clasifica media/alta. Los valores más bajos se encontraron en sujetos de mayor edad. La práctica de ejercicio físico de los mismos participantes en este estudio responde a motivaciones intrínsecas (Diversión y Bienestar, Fuerza y Resistencia Muscular, Desafío, Competición, Agilidad y Flexibilidad, Afiliación, Prevención y Salud Positiva). La investigación arroja asociaciones entre adherencia a la DM y elementos de composición corporal; así como entre IMC y porcentaje de grasa con motivos de práctica de ejercicio físico (peso e imagen corporal). En conclusión, el conocimiento generado en la presente investigación hace posible la comprensión y el acercamiento en mayor profundidad a las motivaciones del alumnado participante, así como sus niveles de adherencia a la DM. Todo ello habrá de ser utilizado por los docentes de Educación Física (EF) para la planificación, diseño y desarrollo de su docencia.Abstract: Adherence to the Mediterranean diet (MD) and regular practice of physical exercise are positively associated with better quality of life and with reduction of the levels of overweight, obesity, and associated pathologies. This study aims to analyze adherence to the Mediterranean diet, reasons for exercising and possible relationships with elements of body composition (BMI, Body Fat %, and Waist Circumference) in 387 Icelandic adolescents (54% boys, 46% Girls, Mage=15.03). Chi-Square (χ2), t-student test, and Anova analyses were performed. Subjects’ adherence to MD is classified as medium/high. The lowest values were found in older subjects. Physical exercise practice of the participants in this study responds to intrinsic motivations (Revitalization and Enjoyment, Strength and Endurance, Challenge, Competition, Nimbleness and Affiliation). The research shows associations between adherence to the Mediterranean diet and elements of body composition; as well as between BMI and percentage of fat with reasons of physical exercise practice (Weight Management and Body Image). In conclusion, the knowledge generated in this research makes possible to understand and approach with better precision participating students’ motivations, as well as their levels of adherence to the Mediterranean diet. All this will have to be used by Physical Education teachers for planning, designing and developing their teaching.

The aim of this study is to identify and analyze the motives that lead Icelandic teenagers to engage in physical exercise and the possible associations with variables of their body composition. For this purpose, the Self-Report of Reasons for the Practice of Physical Exercise questionnaire (AMPEF) was administered to 387 students (54% boys and 46% girls, Mage = 13.38 years) from Reykjavik (Iceland). The results reveal the subscales Revitalization and Enjoyment, Strength and Endurance, Challenge and Competition as the main motives for exercising among the participants. Boys score higher in all subscales than girls except for Revitalization and Enjoyment. Associations between the motive Weight Management and Appearance, and BMI and Fat % levels were found. It can be concluded that the participants’ physical exercise practice is based on the feelings and experiences they perceive in the sports practice process.

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